Dual Eligibles

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Integrated Care for People with Medicare and Medicaid

NCOA, in partnership with the Medicare Rights Center, recently expanded the resources in their toolkit that help explain integrated care coverage options for dual eligibles. New items in the toolkit include a video tutorial explaining integrated care, an infographic for counselors, and comparison charts highlighting the differences between Original Medicare, PACE, Duals Special Needs Plans (D-SNPs) and integrated D-SNPs.

Short URL: http://www.advancingstates.org/node/73204

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Investing in Medicaid HCBS is Good for Medicare

Justice in Aging's new fact sheet, Investing in Medicaid HCBS is Good for Medicare, explains why investing in Medicaid HCBS is good for people with Medicare and the Medicare program. Robust funding for Medicaid HCBS would expand access to services, helping people with Medicare who are dually eligible for Medicaid avoid hospitalizations and other costly care.

Short URL: http://www.advancingstates.org/node/73168

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Multimodal Pain Management: Considerations for Clinicians Treating Pain

Dual eligibles for Medicare and Medicaid have higher levels of chronic pain and use prescription opioids to treat pain more often than those eligible for Medicare only, putting them at a higher risk for opioid misuse or addiction. This brief presents examples of multimodal pain management options that clinicians can consider for treating pain among dually eligible individuals. The resource describes various treatment options, key evidence, and prescribing considerations for each option.

Short URL: http://www.advancingstates.org/node/72631

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Integrated Care Toolkit for People with Medicare and Medicaid

NCOA has partnered with the Medicare Rights Center to develop a toolkit for counselors who work with dual eligibles and beneficiaries. The toolkit includes a break down of coverage options in an easy-to-understand format for counselors and consumers. This toolkit was created following interviews and focus groups with counselors, and will be updated and enhanced with additional materials on an ongoing basis.

Short URL: http://www.advancingstates.org/node/72543

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Addressing Social Needs Amid the COVID-19 Pandemic: A Survey of Dual Eligible Special Needs Plans

In this blog post, ACAP and CHCS share survey results that detail how Community Affiliated Plans (ACAP), including Dual Eligible Special Needs Plan (D-SNP) and Medicare-Medicaid Plans, are addressing existing and new health-related social needs of their dually eligible enrollees during the COVID-19.

Short URL: http://www.advancingstates.org/node/72346

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De-Mystifying Data: How Medicare Data Can Support Medicaid Agencies

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid (dually eligible individuals).The brief provides a primer on the ways that Medicare data can help states better deliver care to dually eligible individuals; it also details information about data sources and other resources available to help obtain and analyze Medicare data.

Short URL: http://www.advancingstates.org/node/72175

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Exploring Options for Integration: State Considerations to Better Coordinate Medicare and Medicaid

This webinar discussed two issue briefs from the MLTSS Institute on aligning Medicare and Medicaid for dually eligible individuals. The briefs covered were, "Starting from Square One: Considerations for States Exploring Medicare-Medicaid" and, “The Value of Integration to State Medicaid Agencies”. The webinar also highlighted the perspective of the District of Columbia, which is planning to launch new program elements to better integrate care.

Short URL: http://www.advancingstates.org/node/72036

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Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid. Only about 2/3 of states have undertaken any activity to better integrate care for dually eligible beneficiaries; many have encountered a number of barriers in pursuing better integration of the Medicare and Medicaid programs. This issue brief identifies key questions that states should ask themselves before they design an integrated care program.

Short URL: http://www.advancingstates.org/node/72030

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Improving Care And Managing Costs For Dual Eligibles

This report presents highlights from a National Governor's Association Roundtable held in December 2018. At the roundtable, state and federal officials, national experts, and industry and consumer experts discussed challenges and opportunities for states to improve care and manage costs for dual eligibles. Based on the conversation at this event, NGA identifies key considerations for governors and their staff.

Short URL: http://www.advancingstates.org/node/71949

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